# Rotterdam CT — Rotterdam CT score for traumatic brain injury

> Sums CT features to predict outcome after traumatic brain injury.

**Situação:** vigente · **Órgão:** Encéfalo · **Órgão emissor:** Traumatic brain injury consensus · **Versão:** 2005 · **Ano:** 2005

## Procedência e vigência
- Família: léxico
- Tipo de lógica: flat
- Modalidade: CT
- Fonte primária: Maas AIR, Hukkelhoven CWPM, Marshall LF, Steyerberg EW. Prediction of outcome in traumatic brain injury with CT: the Rotterdam CT score (2005) — https://doi.org/10.1227/01.NEU.0000186013.63046.6B
- Última verificação: 2026-06-26
- Última checagem: 2026-06-26

## Categorias

| Código | Rótulo | Critérios | Conduta | Risco | Localizador | Verificado |
| --- | --- | --- | --- | --- | --- | --- |
| 1 | Score 1 | Total score of 1: the lowest category, produced when all four CT components score 0 (normal basal cisterns, no/minimal midline shift, no scoring of an epidural mass, no intraventricular or subarachnoid blood) plus the constant +1 added to every patient. | — | Lowest mortality category; reported ~3.2% (StatPearls TBI) and 5% 6-month mortality in the external-validation cohort. | StatPearls 'Traumatic Brain Injury' (NBK557861), Prognosis section (component point values and 'scores range from 1 to 6'); mortality from same section and from External Validation study PMC5602255 ('score 1, 5%'). | ✓ |
| 2 | Score 2 | Total score of 2: sum of the four weighted CT components equals 1, plus the constant +1. | — | ~7% 6-month mortality in the external-validation cohort. | StatPearls NBK557861, Prognosis section (component scoring); mortality from PMC5602255 ('score 2, 7%'). | ✓ |
| 3 | Score 3 | Total score of 3: sum of the four weighted CT components equals 2, plus the constant +1. | — | ~16% 6-month mortality in the external-validation cohort. | StatPearls NBK557861, Prognosis section; mortality from PMC5602255 ('score 3, 16%'). | ✓ |
| 4 | Score 4 | Total score of 4: sum of the four weighted CT components equals 3, plus the constant +1. | — | ~26% 6-month mortality in the external-validation cohort. | StatPearls NBK557861, Prognosis section; mortality from PMC5602255 ('score 4, 26%'). | ✓ |
| 5 | Score 5 | Total score of 5: sum of the four weighted CT components equals 4, plus the constant +1. | — | ~53% 6-month mortality in the external-validation cohort. | StatPearls NBK557861, Prognosis section; mortality from PMC5602255 ('score 5, 53%'). | ✓ |
| 6 | Score 6 | Total score of 6: the maximum, produced when the four CT components reach their worst values (basal cisterns absent = 2; midline shift >5 mm = 1; intraventricular/subarachnoid blood present = 1; epidural-mass component = 1) summing to 5, plus the constant +1. | — | Highest mortality category; ~61% 6-month mortality (external validation) and up to ~80% reported in StatPearls. | StatPearls NBK557861, Prognosis section ('a score of 6 can have mortalities of almost 80%'); 61% from PMC5602255 ('score 6, 61%'). | ✓ |

### Citações por categoria
- **1**: Maas AIR, Hukkelhoven CWPM, Marshall LF, Steyerberg EW. Prediction of outcome in traumatic brain injury with CT: the Rotterdam CT score (2005) — https://doi.org/10.1227/01.NEU.0000186013.63046.6B · StatPearls 'Traumatic Brain Injury' (NBK557861), Prognosis section (component point values and 'scores range from 1 to 6'); mortality from same section and from External Validation study PMC5602255 ('score 1, 5%').
- **2**: Maas AIR, Hukkelhoven CWPM, Marshall LF, Steyerberg EW. Prediction of outcome in traumatic brain injury with CT: the Rotterdam CT score (2005) — https://doi.org/10.1227/01.NEU.0000186013.63046.6B · StatPearls NBK557861, Prognosis section (component scoring); mortality from PMC5602255 ('score 2, 7%').
- **3**: Maas AIR, Hukkelhoven CWPM, Marshall LF, Steyerberg EW. Prediction of outcome in traumatic brain injury with CT: the Rotterdam CT score (2005) — https://doi.org/10.1227/01.NEU.0000186013.63046.6B · StatPearls NBK557861, Prognosis section; mortality from PMC5602255 ('score 3, 16%').
- **4**: Maas AIR, Hukkelhoven CWPM, Marshall LF, Steyerberg EW. Prediction of outcome in traumatic brain injury with CT: the Rotterdam CT score (2005) — https://doi.org/10.1227/01.NEU.0000186013.63046.6B · StatPearls NBK557861, Prognosis section; mortality from PMC5602255 ('score 4, 26%').
- **5**: Maas AIR, Hukkelhoven CWPM, Marshall LF, Steyerberg EW. Prediction of outcome in traumatic brain injury with CT: the Rotterdam CT score (2005) — https://doi.org/10.1227/01.NEU.0000186013.63046.6B · StatPearls NBK557861, Prognosis section; mortality from PMC5602255 ('score 5, 53%').
- **6**: Maas AIR, Hukkelhoven CWPM, Marshall LF, Steyerberg EW. Prediction of outcome in traumatic brain injury with CT: the Rotterdam CT score (2005) — https://doi.org/10.1227/01.NEU.0000186013.63046.6B · StatPearls NBK557861, Prognosis section ('a score of 6 can have mortalities of almost 80%'); 61% from PMC5602255 ('score 6, 61%').


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> Conteúdo de referência reescrito. Confira a publicação primária vigente. Não é dispositivo médico nem substitui o julgamento clínico. O radiologista responsável pelo laudo permanece o autor e o responsável.

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